Monitoring system including mask removal and oxygen desaturation period detection

ABSTRACT

A method of indicating an oxygen desaturation period has been initiated includes detecting an oxygen mask configured to supply oxygen to a patient to saturate the patient, detecting a removal of the oxygen mask from the patient to stop saturation of the patient, initiating a desaturation timer in response the removal of the oxygen mask from the patient, and operating an image display device to display a first running time on a screen of the image display device indicating a desaturation time elapsed from a time of the removal of the mask.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a national stage entry of PCT/IB2015/057135, filedon Sep. 16, 2015, which claims the benefit of U.S. ProvisionalApplication No. 62/051,152, filed Sep. 16, 2014, the entire contents ofwhich are hereby incorporated by reference.

BACKGROUND

Intubation is a standard practice involving insertion of a tube into atrachea providing oxygen to a patient during surgery. A standardprocedure for direct intubation of patients involves manipulating apatient to give a clinician performing an intubation a direct line ofsight of the patient's larynx, so as to guide an intubation tubeproperly into the patient's trachea. In some cases, obtaining a directline of sight cannot be achieved and a video image originating from thetip of an intubation device is used to identify airway landmarks andhelp guide the tube through the larynx.

Intubations must be completed within a narrow time window after apatient has been pre-oxygenated and breathing has been stopped duringwhich time there is no oxygen supply until the tube is in place andbegins to provide oxygen. Failure to properly place the tube in a shorttime can lead to aborting the planned operation and risk the patient'shealth. In the case of pre-oxygenation, the time when oxygen supply iscut off occurs when a face mask providing an oxygen supply is removed.The recommendation for allowed time can range from 30 seconds per try toup to several minutes depending on the situation.

During an intubation procedure, there is a risk that a clinician couldbe unaware or loses track of one or both of the time since an oxygensupply has been cutoff from a patient, and an oxygen saturation level ofthe patient. In the case of the latter, oxygen levels of the patient maybe available from other devices, but require the clinician to look atthe other device and divert the clinician's focus from the patient andthe physical acts involved with the intubation procedure.

SUMMARY

The foregoing needs are met by the present invention, wherein accordingto certain aspects, a method of indicating a oxygen desaturation periodhas been initiated includes detecting, via at least one of an opticalimaging device and one or more sensors, an oxygen mask configured tosupply oxygen to a patient to saturate the patient, detecting, via theat least one of the optical imaging device and the one or more sensors,a removal of the oxygen mask from the patient to stop saturation of thepatient, initiating, via one or more processors, a desaturation timer inresponse to the at least one of the optical imaging device and the oneor more sensors detecting the removal of the oxygen mask from thepatient, and operating, via the one or more processors, an image displaydevice to display a first running time indicating a desaturation timeelapsed from a time of the removal of the mask.

In accordance with other aspects of the present disclosure, at least oneof an optical imaging device and one or more sensors includes one ormore stationary proximity sensors, an oxygen mask includes one or moremagnets creating a permanent magnetic field, and the oxygen mask ispositioned to saturate a patient and the one or more stationaryproximity sensors are located in the permanent magnetic field accordingto a method of indicating an oxygen desaturation period has beeninitiated.

In accordance with other aspects of the present disclosure, a method ofindicating an oxygen desaturation period has been initiated includesreceiving, via the one or more processors, a position of the oxygen maskaccording to an operation of one or more stationary proximity sensorsand the one or more magnets, determining, via the one or moreprocessors, a distance between the oxygen mask and one of the locationand the one or more stationary proximity sensors according to theposition of the oxygen mask, and comparing, via the one or moreprocessors, the position of the oxygen mask to a first thresholddistance. Detecting the removal of the oxygen mask includes detectingthe movement of the oxygen mask in response to the one or moreprocessors determining, based on the comparing, the oxygen mask ispositioned a first distance from the one of the location and the one ormore stationary proximity sensors greater than the first thresholddistance.

In accordance with other aspects of the present disclosure, a method ofindicating an oxygen desaturation period has been initiated includesdetermining, via the one or more processors, a second distance betweenthe oxygen mask and the one of the location and one or more stationaryproximity sensors prior to the detecting the removal of the oxygen mask,setting, via the one or more processors, a second threshold accordingthe second distance, and resetting, via the one or more processors, thetimer and stopping the display of the first running time in response tothe one or more processors determining the oxygen mask is positioned athird distance from the one or more stationary proximity sensors that isless than the second distance.

In accordance with yet other aspects of the present disclosure, at leastone of an optical imaging device and one or more sensors includes one ormore pressure sensors attached to the oxygen mask, and detecting amovement of a mask includes detecting the movement of the oxygen mask inresponse to one or more pressure sensors detecting a change in pressurefor a supply of oxygen by the oxygen mask greater than a thresholdpressure change for a method of indicating an oxygen desaturation periodhas been initiated.

In accordance with yet other aspects of the present disclosure, at leastone of and optical imaging device and one or more sensors includes anoptical imaging device, the optical imaging device is focused on alocation including the oxygen mask positioned on the patient, anddetecting a removal of the oxygen mask includes detecting the removal ofthe oxygen mask in response to the oxygen mask being removed from alocation according to an image from the optical imaging device for amethod of indicating an oxygen desaturation period has been initiated.

In accordance with other aspects of the present disclosure, operating animage display device includes operating the image display device todisplay a running time in a position on a screen that corresponds to alocation within a field of view from a first location that is a workingdistance of 50 cm from a second location defining a focus of the fieldof view, and the field of view is 10° and the second location does notcoincide with a position on the screen for a method of indicating anoxygen desaturation period has been initiated.

In accordance with yet other aspects of the present disclosure, a methodof indicating an oxygen desaturation period has been initiated includesdetermining, via the one or more processors, an intubation procedure hasbeen initiated according to a position of an intubation device assembly,and operating, via the one or more processors, an image display deviceto display a first running time and a second running time indicating anelapsed time from the intubation procedure being initiated.

In accordance with still other aspects of the present disclosure, amethod of indicating an oxygen desaturation period has been initiatedincludes receiving, via one or more processors, data from a first oxygensensor configured to be attached to a patient and data from a secondoxygen sensor of an anesthesia machine, determining, via the one or moreprocessors, a differential between a first oxygen level corresponding tothe data from the first oxygen sensor and a second oxygen levelcorresponding to the data from the second oxygen sensor to a deviationthreshold, and operating, via the one or more processors, an imagedisplay device to display the first level of oxygen in response to thedifferential being less than the deviation threshold.

In accordance with still other aspects of the present disclosure, amethod of indicating an oxygen desaturation period has been initiatedincludes detecting, with one or more position sensors, an orientation ofthe screen of the imaging device, setting, with the one or moreprocessors, a template for displaying the first running in the displaywindow on the screen according to the orientation of the screen and afirst field of view from a first location focused on a second locationthat does not coincide with a location of the screen, and operating,with the one or more processors, the image display device to display thedisplay window including the running time and a video image from anoptical imaging device of the intubation assembly on the screen.

In accordance with yet other aspects of the present disclosure, settinga template includes setting a position of a display window to be withina first field of view such that at least a portion of a display windowis positioned in an area of a screen surrounding a display of a videoimage and including a background of a single color in, a method ofindicating an oxygen desaturation period has been initiated.

In accordance with yet other aspects of the present disclosure, a systemincludes an intubation device assembly including an intubation device,and an image display device including a screen and a controller. Thesystem includes a proximity sensor configured to communicate with thecontroller, and a magnet configured to provide a permanent magneticfield. The magnet is positioned more than a predetermined distance fromthe proximity sensor and the controller initiates a timer and operatesthe image display device to display a running time on the screenindicating an elapsed time from the initiation of the timer.

In accordance with yet other aspects of the present disclosure, a systemincludes at least one oxygen sensor configured to detect an oxygensaturation and communicate with the controller. A magnet is positionedmore than the predetermined distance from a proximity sensor and acontroller operates an image display device to display a running timeand the oxygen saturation on a screen.

There has thus been outlined, rather broadly, certain aspects of thepresent disclosure in order that the detailed description herein may bebetter understood, and in order that the present contribution to the artmay be better appreciated.

In this respect, before explaining at least one embodiment of thepresent disclosure, it is to be understood that the present disclosureis not limited in its application to the details of the construction andto the arrangements of the components set forth in the followingdescription or illustrated in the drawings. Also, it is to be understoodthat the phraseology and terminology employed herein, as well as theabstract, are for the purpose of description and should not be regardedas limiting.

As such, those skilled in the art will appreciate that the conceptionupon which this disclosure is based may readily be utilized as a basisfor the designing of other structures, methods and systems for carryingout the several purposes of the present disclosure. It is important,therefore, that the claims be regarded as including such equivalentconstructions insofar as they do not depart from the spirit and scope ofthe present disclosure.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A illustrates a medical procedure involving an intubation device,according to an aspect of the present disclosure.

FIG. 1B illustrates an enlarged portion of FIG. 1A.

FIG. 2 illustrates a schematic view of an intubation device assembly,according to an aspect of the present disclosure.

FIG. 3 illustrates an exploded view of the intubation device assembly ofFIG. 2.

FIG. 4 is an algorithmic flowchart illustrating a method of operating animage display device according to an aspect of the present disclosure.

FIG. 5 is a flowchart illustrating a method of setting a screeninformation template for an image display device, according to an aspectof the present disclosure.

FIG. 6 illustrates a 2D representation of a 3D conical field of view ofa human eye.

FIG. 7A illustrates a field of view of an operator during a medicalprocedure with an image display device in a first position, according toan aspect of the present disclosure.

FIG. 7B illustrates a field of view of an operator during a medicalprocedure with an image display device in a second position, accordingto an aspect of the present disclosure.

FIG. 7C illustrates an enlarged portion of FIG. 7B.

FIG. 7D illustrates a field of view of an operator during a medicalprocedure with an image display device in a third position, according toan aspect of the present disclosure.

FIG. 8 is a flowchart illustrating a method for event detecting,according to an aspect of the present disclosure.

FIG. 9 is an algorithmic flowchart illustrating a method ofapproximating a position of a mask, according to an aspect of thepresent disclosure.

FIG. 10 is an algorithmic flowchart illustrating a method of analyzingan oxygen saturation level, according to an aspect of the presentdisclosure.

FIG. 11 illustrates a view from an optical imaging device divided intooptical segments, according to an aspect of the present disclosure.

FIG. 12 is an algorithmic flowchart illustrating a method of analyzingan image obtained by an optical imaging device, according to an aspectof the present disclosure.

FIG. 13 illustrates a view of a patient utilizing a secondary imagesource, according to an aspect of the present disclosure.

FIG. 14 is an algorithmic flowchart illustrating a method of analyzingan image of a second image source, according to an aspect of the presentdisclosure.

FIG. 15 is an algorithmic flowchart illustrating a method of analyzing aforce applied to a patient, according to an aspect of the presentdisclosure.

FIG. 16 illustrates an intubation device, according to an aspect of thepresent disclosure.

FIG. 17 illustrates a general-purpose computer system, according to anaspect of the present disclosure.

DETAILED DESCRIPTION

Aspects of the disclosure will now be described in detail with referenceto the drawings, wherein like reference numbers refer to like elementsthroughout, unless specified otherwise.

It is noted that as used in the specification and the appending claimsthe singular forms “a,” “an,” and “the” can include plural referencesunless the context clearly dictates otherwise.

Unless specified otherwise, the terms “substantial” or “substantially”as used herein mean “considerable in extent,” or “largely but notnecessarily wholly that which is specified.”

Recitation of ranges of values herein are merely intended to serve as ashorthand method of referring individually to each separate valuefalling within the range, unless otherwise indicated herein, and eachseparate value is incorporated into the specification as if it wereindividually recited herein. All methods described herein can beperformed in any suitable order unless otherwise indicated herein orotherwise clearly contradicted by context.

FIG. 1A illustrates a medical procedure, according to one aspect of thepresent disclosure. In a room 100, a patient 102 is attended to by afirst clinician 104 and a second clinician 106. The first clinician 104is holding a mask 110, e.g. an oxygen mask, which includes a magnetembedded in the mask 110. The magnet 112 may be small in size relativeto the mask 110. It will be appreciated that the mask 110 may includemore than one magnet 112 embedded in the mask 110. A permanent magneticfield of the magnet 112 produced according to the Hall effect may bedetected with one or more stationary proximity sensors 114 (hereafterreferred to as “proximity sensors 114”) which are attached to a head ofthe patient 102. The proximity sensors 114 may detect the permanentmagnetic field in order to detect a change of distance from the magnet112 to the proximity sensors 114, and thereby detect a removal of themask 110 from the patient 102. Each proximity sensor 114 can be attachedto the patient 102 via an adhesive patch.

Also attached to a head of the patient 102, is at least one SpO₂ sensor116 (hereafter referred to as “oxygen sensor 116”) which measures oxygensaturation and pulse. There may be a plurality of oxygen sensors 116attached to the head (e.g. lip, nose, forehead, etc.) and body of thepatient 102. The oxygen sensors 116 may communicate or be connected toan anesthesia machine 118. It will be appreciated that other SpO₂sensors may be located on other parts of a body of the patient 102.According to an aspect of the present disclosure, the oxygen sensors 116which include facial oxygen sensors may be combined with the proximitysensors 114. More specifically, lip, nose, and forehead sensors mayinclude proximity sensors 114 to detect a position of mask 110 and bemonitored to generate events related to pre-oxygenation time and startof desaturation. The oxygen sensors 116 may be provided with differenttypes of oxygen monitoring equipment available from manufactures such asNonin® or Masimo, and capable communicating wirelessly via Bluetooth orNFC.

The second clinician 106 is holding an intubation device 150 in one handand the tube or coaxial arrangement of tube devices 170 including astylet 172 (e.g. a video stylet), in the other hand. The tube or coaxialarrangement of tube devices 170 may include the stylet 172 and, forexample a tube including a cuff (e.g. an endotracheal tube), and/or anexchanger tube. An image display device 140 is attached to theintubation device 150, which includes an optical imaging device (notshown) configured to transmit a video image of an area encompassed by afield of view of the optical imaging device (i.e. an optical field ofview of the optical imaging device). The image display device 140 may beany type of monitor or other image display, and may be a touch sensitivemonitor. The image display device 140 may communicate with the proximitysensor 114, the oxygen sensor 116, the anesthesia machine 118, theintubation device 150 and the tube or coaxial arrangement of tubedevices 170 via various types of wireless communication protocols suchas Wi-Fi, Bluetooth, Near Field Communication (NFC), etc. The imagedisplay device 140 may also communicate with a computing system 190positioned in the room 100, which may be in communication with a centralinformation system (not shown) of for example a hospital.

FIG. 1B illustrates an enlarged portion of FIG. 1A. As can be seen fromFIG. 1B, the intubation device 150 is inserted into the mouth of thepatient 102 to extend into the throat of the patient 102. The intubationdevice 150 may be a laryngoscope or a laryngeal mask airway, or otherknown device utilized for intubation procedures.

FIG. 2 illustrates a schematic view of an intubation device assembly200, according to an aspect of the present disclosure. The intubationdevice assembly 200 includes the image display device 140, and anexample of a type of the intubation device 150 of FIGS. 1A and 1B.Specifically, an intubation device 250 which defines a laryngoscope. Theimage display device 140 includes a housing 202 connected to a maincartridge 204 by a connection joint 206. A screen 208 of the imagedisplay device 140 is positioned on a side of the housing 202 oppositeto the connection joint 206, and may include a liquid crystal display(LCD), organic light-emitting diode (OLED), active-matrix organiclight-emitting diode (AMOLED). Within the housing 202, a controller 210may be in operative communication with a first position sensor 212 thatmay be positioned on an exterior surface of the housing 202, within arecess in the exterior surface of the housing 202, or within the housing202. The controller 210 may be connected to a power source 214, such asin the form of a rechargeable or disposable battery.

It will be appreciated that the main cartridge 204 may beinterchangeably connected to the housing 202 of the image display device140. Accordingly components in the main cartridge 204 may be provided indifferent arrangements in versions of the main cartridge 204 having adifferent shape and size.

The main cartridge 204 may be received in a handle 252 of the intubationdevice 250, and the first connector 222 may engage a second connector254 positioned on a head 256 of a blade 258. The blade 258 and handle252 together provide a laryngoscope. Accordingly, the blade 258 of thelaryngoscope may be used to depress a tongue of the patient 102, toclear a path for an object (e.g. a tubular object such as a stylet,endotracheal tube, or combination thereof) into a trachea of the patient102. By the connection between the first connector 204 and the secondconnector 254, an optical imaging device 260 is operatively connected tothe controller 210 and supplied with power from the power source 214.The optical imaging device 260 may be a camera including an LED, orother type of device that may transmit an optical signal to thecontroller 210 providing a optical field of view that includes a view ofthe area downstream of the blade 258 (e.g. an area adjacent to a larynxof the patient 102 during a procedure). For example, the optical imagingdevice 260 may be a System On Chip (SOC) with video processingcapability. The optical imaging device 260 is located near a distal tip258 a of the blade 258 and connected to a fiber optic cable.

The intubation device 250 may be used to position the tube or coaxialarrangement of tube devices 170 in the patient 102. During a procedurein which the intubation device 250 is positioned into the patient 102,the handle 252 and or cartridge 212 may be orientated together orrelative to each other according to a force exerted by an operator (e.g.a clinician) and a reactive force applied by physical boundaries definedby an anatomical structure of the patient 102. Further, the entireintubation device assembly 200 may have to progress through multiplepositions in order to correctly position the blade 258 within thepatient 102. Through this process, the structures of the blade 258, head256, and even handle 252, my come in contact with the patient 102applying a force to the patient 102.

The second position sensor 216 may detect an orientation of theintubation device assembly 200. According to an aspect of the presentdisclosure, the second position sensor 216 may include an accelerometerwhich may convert a signal from electric elements, such as apiezoelectric strip or a capacitor, into a voltage that can be measuredin order to determine an orientation of the image display device 140 andthus the intubation device assembly 200. An accelerometer of the secondposition sensor 216 may output an analog or a digital signal.

When the main cartridge 204 is received by a load bearing column 262 andrigidly attached thereto, as a result of being inserted into the handle252. The load bearing column 262 extends from the head 256 of the blade258, and the force sensors 218 engage an inner wall 264 of the handle252. Accordingly, movement of the handle 252 relative to the loadbearing column, and thus the cartridge 204, may be transmitted to theforce sensors 218. According to another aspect of the presentdisclosure, the force sensors 218 may be tactile or surface sensors thatchange due to pressure applied thereto. The force sensors 218 may detecta mechanical load, e.g. a force, pressure, moment, being applied, forexample as a reactive force, when the handle 252 is pressed against anobject. Thus the force sensors 218 determine a force, pressure, ormoment, applied to the cartridge 204 which is proportional to the forceapplied by the handle 252 to an external object, for example teeth ofthe patient 102.

As described in further detail below with respect to FIG. 15, theaccelerometers provided as the second position sensor 216 and the forcesensors 218 may be used to measure a force applied to the teeth 270 ofthe patient 102 during a procedure in which the blade 258 is insertedinto the patient's mouth. Obtaining information related to anorientation of the intubation device 250 and a force being applied tothe patient 102 may be used to more efficiently position the blade 258of the intubation device 250 in the patient 102 while reducing theamount or force to which the patient 102 will be subjected.

FIG. 3 illustrates an exploded view of the intubation device assembly200 of FIG. 2. The cartridge 204 includes the first connector 222 at oneend, and a ball 206 b of the joint connection 206 that is received in asocket 206 a extending from the housing of the image display device 140.The image display device 140 may be pivoted about the ball 206 b by anoperator in order to be placed in an optimal position during aprocedure.

The head 256 of the intubation device is connected to a removablemounting slot 352 which includes the second connector 252 which connectsto the first connector 222 when the cartridge 204 is inserted into thehandle 252. According to an aspect of the present disclosure, an end ofthe handle attached to the blade 258 may include a bracket with acylindrical rod (not shown) extending between inner surfaces of thebracket of the handle 252. The mounting slot 352 may be positioned withthe head 256 of the blade 258 and receive the cylindrical rod in a slot352 a formed therein. The second connector 254 may be provided on asurface, or within a recess on a surface of the mounting slot 352 andconnect to the first connector 254 when the blade is rotated away fromthe handle 252 so as to form a substantially right angle with the handle252.

The connection between the first connector 222 and the second connector254 may provide a connection between the power source 214 and/or thecontroller 210 and the optical imaging device 260 positioned on theblade 258 relative to the head 256. According to an aspect of thepresent disclosure, an intermediate connector may be provided an oninner surface of the handle 252 facing the first connector 222 of themain cartridge 204. The intermediate connector may extend to an outersurface of the handle 252 which faces the mounting slot 252 when theblade 258 is attached to the handle. Accordingly, the intermediateconnector may be connected with both of the first connector 222 and thesecond connector 254 and provide the connection between the power source214 and/or the controller 210 and the optical imaging device 260.

The optical imaging device 260 is attached to an electrical cable 356which is held in place by a plastic cover 358 that attaches to the blade258. The optical imaging device 260 is mounted to the end of the plasticcover 358.

FIG. 4 is an algorithmic flowchart illustrating a method of operating animage display device 400 according to an aspect of the presentdisclosure. For illustration, the operations of the method of operatingan image display device 400 will be discussed in reference to FIGS. 1-3.In block S402, the controller 210 obtains a user profile of an operatorusing the image display device 140 during a procedure.

The controller 210 identifies each sensor in an array of sensors theimage display device 140 is configured to communicate with in blockS404. In the case of the intubation device assembly 200, the controller210 identifies the screen 208 which may be touch sensitive, the firstposition sensor 212, the second position sensor 216, the force sensor218, and the optical imaging device 260 at least with a connection ofthe first connector 222 and the second connector 254. It will beappreciate that the controller 210 may be physically connected to eachof the screen 208, the first position sensor 212, the second positionsensor 216, the force sensor 218, the optical imaging device 260, thefirst connector 222, and the second connector 254. Alternatively, theoptical imaging device 260 may communicate with the controller 210 viaWi-Fi, Bluetooth, or NFC. Data from these sensors is obtained by thecontroller 210 in order to identify and register the types of data thatwill be provided by the sensors.

In block S406, the controller 210 may analyze the data obtained fromsensors in communication therewith, and establish respective criteriafor recognizing events. In block S408, the controller 210 may establisha sensor monitoring sequence, which may be based on a predeterminedpriority of the data being obtained, or may be set by an operator beforea procedure begins. A screen orientation of the image display device 140is determined in block S410. Specifically, the controller 210 maycommunicate with the first position sensor 212 to determine a positionrelative to the patient 102, and communicate with the second positionsensor 216 to determine an overall orientation (e.g. angle) of the imagedisplay device 140, and thus an orientation of the intubation deviceassembly 200 in which the cartridge 204 is received.

Following block S410, the controller 210 controls the image displaydevice 140 according to a screen information template setting algorithm500, which is described in further detail with reference to FIG. 5. Inblock S412, the controller 210 monitors the proximity sensor 114, theoxygen sensor 116, the anesthesia machine 118, the first position sensor212, the second position sensor 216, the force sensor 218, and theoptical imaging device 260 according to the sequence determined in blockS408. It will be appreciated that readings/image data from thesensors/optical device (114, 116, 212, 216, 218, 260) are continuouslyobtained and available for evaluation by the controller 210. Asdescribed in more detail with respect to FIG. 8, where a desaturationtimer t_(S) has been initiated, the controller 210 may also monitor thedesaturation timer t_(S) at block S408. The controller 210 controls theimage display device 140 according to an event detecting algorithm 800,and displays activated parameters according to display settings ofscreen information template setting algorithm 500 in block S414.

In block S416, the controller 210 determines if an algorithmic variable(s) is equal to 2. The algorithmic variable (s) indicates a status of aprocedure (e.g. an intubation procedure) as determined from informationprovided by the continuous monitoring of the proximity sensor 114, theoxygen sensor 116, the anesthesia machine 118, the first position sensor212, the second position sensor 216, the force sensor 218, and theoptical imaging device 260. Where the algorithmic variable (s) is notequal to 2, the controller 210 monitors the sensors according to themonitoring sequence in block S412. Optionally, the controller 210 canset the monitoring sequence according to a priority of parametersrelated to the data obtained from the proximity sensor 114, the oxygensensor 116, the anesthesia machine 118, the first position sensor 212,the second position sensor 216, the force sensor 218, and the opticalimaging device 260 in block S418. On the other hand, if the algorithmicvariable (s) is equal to 2, the method of operating an image displaydevice 400 ends.

FIG. 5 is a flowchart illustrating a method of setting a screeninformation template for an image display device 500, according to anaspect of the present disclosure. In block S502, the controller 210determines a screen position and temporal settings for data of eachsensor based on an associated parameter and the orientation the screen208. As described in more detail with reference to FIGS. 7A-D, positionsof parameters are determined by the type of data, and the criticality ofthe operator having knowledge of the value of the parameter as to theprocedure being performed. The temporal settings for each parameter mayinclude a length of time that a particular parameter is displayed on thescreen 208, or a frequency for which the parameter is repeatedlydisplayed (e.g. flashed) on the screen 208.

According to an aspect of the present disclosure, prior to setting thedata window position(s), the controller 210 may estimate a field of viewcorresponding to an estimated field of view (EFOV) of an operator, basedon an orientation of the image display device 140. The controller 210may estimate the EFOV according to an orientation determined in S410,and/or data from the first position sensor 212 and the second positionsensor 216 to determine a position of the screen 208 relative to anoperator and the patient 102. Accordingly, the controller 210 mayutilize the EFOV to determine an optimal location for a data window(s),for example where the screen 208 is not centered relative to a mouth ofthe patient 102.

The image display device 140 uses the entire screen for video imaging,and can be operative both in a portrait or landscape orientation. Asdiscussed in more detail with respect to FIGS. 7A, B, and D, the samesingle fixed data window location can be used to display differentparameters. Alternatively, each parameter may be assigned to arespective data window that may periodically cover part of a streamingvideo in a respective fixed position on the screen 208.

In block S506, the controller 210 sets a size for a data window and acolor size for each parameter according to the user profile. In blockS508, the controller 210 sets priorities for the parameters according toa determination of a criticality each parameter associated with eachsensor, which may be based on a preprogramed analysis. According to anaspect of the present disclosure, the priority of a parameter maydetermine the order in which the parameter is displayed on the screen208 of the image display device 140 and/or the monitoring sequence.

In block S510, the controller 210 stores the priorities and displaysettings for each parameter. Based on the stored priorities and displaysettings, the controller 210 may schedule different messages eitherplacing multiple display windows, multiple pieces of information in eachdisplay window, or sequencing display windows. A display time andinterval, i.e. temporal setting for each window, may be allocatedaccording to interval settings of a parameter displayed in the displaywindow. The controller 210 may remove messages when conditions sensed byan array of sensors (110, 114, 116, 216, 218, 260), indicate informationassociated with a parameter of a display window is no longer relevant.

FIG. 6 illustrates 2D representation of a 3D conical field of view (FOV)of a human eye. A position of the eye corresponds to a first location600. As illustrated in FIG. 6, a parafoveal vision is generallyconsidered to be about 8°. The parafoveal vision corresponds to anintermediate form of vision represented by a ring-shaped regionsurrounding fovea vision of a human eye. Information being read within2° of a point of fixation (POF) is processed in a foveal vision, whileinformation up to 5° from the point of fixation benefits from parafovealpreview. When a character or a word is previewed in parafovea visionbefore fixation, processing time by a brain may be shorter (for exampleby 30-40 ms) than if the character or word had not been previewed.

FIG. 7A illustrates a field of view of an operator—FOV 706—(e.g. avisual FOV of a clinician, and more specifically a visual FOV of thesecond clinician of FIGS. 1A and 1B) during a medical procedure with theimage display device 140 in a first position, according to an aspect ofthe present disclosure. FIG. 7B illustrates a field of view of anoperator—FOV 706—during a medical procedure with the image displaydevice 140 in a second position, according to an aspect of the presentdisclosure. FIG. 7C illustrates an enlarged portion of FIG. 7B, andspecifically shows a relative size of characters on a screen withrespect to the FOV 706 illustrated in FIG. 7B. FIG. 7D illustrates afield of view of an operator—FOV 706—during a medical procedure with theimage display device 140 in a third position (i.e. a portraitorientation), according to an aspect of the present disclosure. It willbe appreciated that FIGS. 7A-D are not drawn to scale and are generalrepresentations of an exemplary FOV 706 for an operator, and do notspecifically correspond to the values for areas within a FOV discussedherein.

The FOV 706 of an operator performing a medical procedure, for examplean intubation, may be focused on a lower head region of the patient 102,which may be roughly 10-12 cm in diameter, at a working distance fromthe operator of an arm's length of approximately 50 cm. A visual fieldabout a point of fixation for the FOV 706 corresponding to the aboveworking distance and diameter may be approximately 12°. An outer radialportion of the FOV 706 of an operator, as illustrated in FIGS. 7A, B,and D, surrounds a parafoveal FOV 704, which is concentric to a fovealFOV 702. It will be appreciated that the parafoveal FOV 704 and fovealFOV 702 illustrated in FIGS. 7A, B, and D, correspond to the 8°parafoveal vision, and the 2° foveal vision illustrated in FIG. 6.

In order for the image on the image display device 140 to be within anoperator's parafoveal FOV 704, e.g. within 8°-10° about a secondlocation 700 at or near a mouth region of the patient 102, a size of thescreen 208 of the image display device 140 may be approximately 3inches×2 inches. With this size, the screen 208 may extend over 8° of anoperator's FOV focused on the screen 208 for the working distancepreviously discussed. Accordingly, parameters displayed on the screen208 are in the parafoveal FOV 704 of an operator so as to be previewedprior an operator fixating on a given parameter or other image on thescreen 208.

A size of a character displayed on the screen 208 is such that thecharacter is instantly recognizable at the working distance, similar toa print size of characters in a headline. It will be understood that afont of characters of a standard headline print size may occupy an areain a range corresponding to 0.40-0.8° of an operator's FOV, asillustrated in FIG. 7C. The controller 210 of the image display device140 may arrange letter spacing so as to not be overly crowded, andpreferably greater than 0.2°-0.3° of and operator's FOV. According anaspect of the present disclosure, a three digit display with a colonseparating minutes and seconds is displayed on the image display device140 over an area occupying between 1.5° to 2.5° of an operator's 8°parafoveal FOV, as illustrated in FIG. 7C.

During a medical procedure, such as a procedure including an intubationof the patient 102, an operator may deploy the screen 208 comfortablywithin the operator's line of sight. The screen 208 of the image displaydevice 140 may preferably be positioned in a line of sight of anoperator performing an intubation to be within an FOV of the operatorthat is concentrated on a lower part of the face and jaw of the patient102. As illustrated in FIGS. 7A-C, the screen 208 can be either above orbelow the mouth of the patient 102, and can be orientated according to aportrait or landscape orientation.

As illustrated in FIG. 7A, the controller 210 may display parameters ina display window 710 in a single location close to the mouth of thepatient 102. As previously discussed, the controller 210 may cyclethrough the parameters, flashing each parameter over a predeterminedinterval of time. FIG. 7A illustrates an example of a cycle in whichtime, oxygen saturation level, and force are displayed on the imagedisplay device 140. Specifically, at time 0.0 seconds—a time which maycorrespond to an elapsed time since an oxygen mask was removed or sincean intubation device was brought within a view of a mouth of the patient102—may be displayed for 0.5 seconds.

At 0.5 seconds, the display window 710 may cycle from displaying thetime to displaying a portion of an image which was covered by the datain the display window from 0.0 to 0.5 seconds, and therefore not includeany parameter representing data from any source such as a sensor. Thisdisplay of the video image, for example from the first optical imagingdevice 260, in the location of the display window 710, may continue for0.5 seconds. Following the display of the video image, at 1.0 seconds,an oxygen saturation level is displayed in the display window 710. Afterthe oxygen saturation level is displayed for 0.5 seconds, the controller210 may cycle from displaying the oxygen saturation parameter in thedisplay window, to again displaying a portion of the video image whichwas covered by the data in the display window 710 from 1.0 to 1.5seconds, and therefore not include any parameter representing data fromany source such as a sensor. The display of the video image in thelocation of the display window 710 may continue for 0.5 seconds, and at2.0 seconds, a detected force may be displayed in the display window710. Accordingly, the controller 210 may operate the image displaydevice 140 to cycle through displays of parameters, separated bydisplays of a portion of a video image that would be covered by thedisplay window 710 that displays the parameters during the cycle.

As illustrated in FIG. 7B, according to another aspect of the presentdisclosure the controller 210 may display each parameter in a differentdisplay window (710, 720, 730) at a corner or edge of the screen 208,close to a mouth region of the patient 102. The display windows (710,720, 730) correspond to positions for activated parameters assigned as aresult of the controller 210 operating the image display device 140according to the Screen Information Template Setting algorithm 500. Thedisplay windows (710, 720, 730) enclose respective parameters expressedas text or digits which are large enough to be easily recognized andcontrasted to a single pantone background. Each display window occupiesan area corresponding to less than 2° of the FOV for the workingdistance as discussed herein. According to an aspect of the presentdisclosure, the characters (text or digits) may be larger than 0.2° ofthe FOV, and preferably in a range of 0.4° to 0.8°, and separated overspaces corresponding to 0.2° of the FOV as illustrated in FIG. 7C.

The image display device 140 preferably shows a window as represented bythe screen 208, which includes critical real time procedure (e.g.intubation) data on a single pantone rectangular background as opposedto a video background cluttered with tissue image. Thus, the screen 208may display critical real time intubation data in a similar manner as ahighway signage to provide easily read information as well as warninginformation.

FIGS. 7A-D further illustrate display settings for the image displaydevice 140, according to an aspect of the present disclosure. A color ofa background, contrast of an image displayed on the screen 208, color ofa display window 710, and the text within the display window 710 can bechanged. The change in colors, contrasts, data types of parametersdisplayed within the display windows (710, 720, 730), and the size ofthe display windows (710, 720, 730), may be set according to thecontroller 210 operating according to the screen information templatesetting algorithm 500.

Colors, size, data type, and other aspects of respective visualpresentations of parameters can change over the course of a procedureaccording to the display settings provided through screen informationtemplate setting algorithm 500 as discussed herein. According to anaspect of the present disclosure, preferable color contrastedcombinations may include a display window with black characters on apale background, for example, yellow, similar to highway warning; blueletters on white background; or a display window with white characterson a green background similar to highway signs. Further, display windows(710, 720, 730) may present activated parameters based on triggerevents, and the display windows (710, 720, 730) may be flashed in arepeating pattern such that a given display window and parametertherein, is present for at least 0.5 seconds to ensure that theparameter can be recognized properly. The pattern may include flashingthe given display window a minimum number of times within an interval,allowing an operator to see a portion of an image on the screen 208which is a part of the image transmitted by the first optical imagingdevice 260 where the given display window is being flashed.

FIG. 8 is a flowchart illustrating a method for event detecting 800,according to an aspect of the present disclosure. In block S802, thecontroller 210 determines if the mask has been detected. If the mask 110has been detected, the controller 210 may operate the image displaydevice 140 according to a mask approximation algorithm 900. If the mask110 has not been detected, the controller 210 may operate the imagedisplay device 140 according to an oxygen saturation algorithm 1000, animage analysis algorithm 1200, and/or a force analysis algorithm 1500.It will be understood that any of one the mask approximation algorithm900, the oxygen saturation algorithm 1000, the image analysis algorithm1200, and the force analysis algorithm 1500 may be performed independentof the other algorithms of FIG. 8. Accordingly, all, some, or even noneof the algorithms of FIG. 8 may be performed for the method of operatinga video display 400. Each of the sensors (114, 116, 212, 216, 218, 260)are simultaneously and continuously operated, and sensor readings areavailable for display at all times and when necessary.

FIG. 9 is an algorithmic flowchart illustrating a method ofapproximating a position of a mask 900 during a procedure, according toan aspect of the present disclosure. In block S902, the controller 210detects the mask 110 based on a signal from the proximity sensor 114. Inblock S904, the controller 210 determines if an oxygen desaturationtimer t_(S) is initiated. The oxygen desaturation timer t_(S) indicatesa time for which oxygen is not being provided through the mask 110 tothe patient 102. According to an aspect of the present disclosure, thedesaturation timer t_(S) can be implemented in a standalone device (notshown), such as a discrete standalone image display device, or beintegrated with anesthesia machine 118. The image display device 140 canoptionally wirelessly receive desaturation time for display which canotherwise be displayed on the standalone device or the anesthesiamachine 118. Where the oxygen desaturation timer t_(S) has beeninitiated, the controller 210 determines if the value of the oxygendesaturation timer t_(S) is greater than or equal to an oxygendesaturation maximum time t_(S-max), which may correspond to an elapsedtime the patient has not been provided with oxygen (e.g. a time since amask was removed from the patient).

Where the value of the oxygen desaturation timer t_(S) is greater thanor equal to the oxygen desaturation maximum time t_(S-max), thecontroller 210 changes data display settings and priority of the oxygendesaturation timer t_(S) parameter. Accordingly, the parameter for theoxygen desaturation timer t_(S) may change from a numeral or time value,to a text value, such as a warning text, or to a numeral or time valueand a text value. Further, the priority of the oxygen desaturation timert_(S) may be changed to be higher than another parameter, for example aparameter associated with the force sensors 218. Accordingly, theparameter for the oxygen desaturation timer t_(S) may be displayed firstand the most often based on a respective priority, as a result of thevalue of the timer t_(S) being more than the oxygen desaturation maximumtime t_(S-max).

In a situation in which the controller 210 determines the oxygendesaturation timer t_(S) has not been initiated in block S904, thecontroller 210 determines if a distance d between the proximity sensor114 and the magnet 112 is less than or equal to a first distancethreshold x₁ in block S910. This will indicate if the mask 110 is closeenough to the proximity sensors 114 for the mask 110 to be considered asbeing close to or on the patient 102. The controller 210 repeats ananalysis according to block S910 until the mask distance d is less thanor equal to the first distance threshold x₁. In block S912, with themask 110 at a distance d less than or equal to the first distancethreshold x₁, the controller 210 determines, based on the signals fromthe proximity sensors 114, or a reading from the anesthesia machine 118which communicates with the proximity sensors 114, if the mask 110 isstationary.

The process in block S912 provides an indication that the mask 110 hasbeen fixed onto a patient 102 so that the controller 210 can determine abaseline distance from which to compare to determine if the mask 110 hasbeen removed from the patient 102. As such, the controller 210 sets asecond distance threshold x₂ to the current mask distance d plus aminimum distance x_(min) in block S914.

In block 916, the controller 210 may communicate with the anesthesiamachine 118 do determine if the anesthesia machine has detected a dropin pressure from the mask 110 indicated it has been removed from thepatient 102. In particular, the mask 110 may include a pressure sensoror the anesthesia machine 118 may include a pressure sensor whichregisters a reduction in pressure in an oxygen supply line when the mask110 is removed from the patient (since there is reduced resistance tooxygen flow because the flow of oxygen is not impeded by the patient102). If there is no pressure drop/change in pressure greater than amaximum change pressure threshold Δp_(max), the controller willdetermine if an auxiliary visual recording device/optical imaging device(not shown) has registered a removal of the mask 110 from the patient.If either of the conditions is determined to have been met in block S916or block S918, the controller 210 will initiate the oxygen desaturationtimer t_(S) in block S924.

If the oxygen desaturation timer t_(S) is not initiated with block S916or block S918, the controller 210 checks to see if the mask 110 is beingmoved from the patient 102 in block S920. Where the mask 110 has beenmoved from the patient 102, the controller 210 determines if themovement is far enough from the patient in block S922 to correspond to asituation in which the mask 110 is being removed for an intubationprocedure to follow. The second distance threshold x₂ is set to avoidinitiating the oxygen desaturation timer t_(S) in block S922 where themask 110 has only been slightly adjusted and not fully removed frompatient 102. The controller 210 will initiate the oxygen desaturationtimer t_(S) in block S924 when it is determined the mask distance d isgreater than the second distance threshold x₂.

In block S926, the controller 210 determines if the mask 110 has beenput back on the patient 102 and is stationary by comparing a signal fromthe proximity sensor to the second distance threshold x₂. Where the mask110 has been put back on the patient 102, in block S928, the controller210 resets the oxygen desaturation timer t_(S) and sets the firstalgorithmic variable (i) to zero, indicating that an intubationprocedure will not be occurring at the current time. On the other hand,if the controller 210 determines the mask 110 is removed from thepatient 102, the display settings for the parameter for the oxygendesaturation timer t_(S) for the current time T_(i) are activated.Accordingly, with the proximity sensor(s) 114, the controller 210 candetermine events that correspond to a pre-oxygenation time and a time atwhich the mask 110 is removed and desaturation begins have occurred.

According to an aspect of the present disclosure, a detection of aremoval of the mask 110 from the patient 102 may occur through detectingthe movement of the mask 110 via the proximity sensor 116, detecting adrop in pressure from the mask 110, or through an observation through anoptical imaging device that is, for example, mounted on the anesthesiamachine 118 or another device. Further, any of these processes fordetecting the removal of the mask 110 may be implemented directly by theimage display device 140 or the anesthesia device 118. The informationrelated to the removal of the mask 110, e.g. the start of the oxygendesaturation timer t_(S), may be displayed on either of the imagedisplay device 140 or a monitor/display device of the anesthesia machine118.

The image display device 140 or the anesthesia machine 118 may be incommunication with the sensor(s) which detect events from which theremoval of the mask 110 can be determined (e.g. the distance, pressuredrop, visual recognition), and transmit data indicating the removal ofthe mask 110 to the other of the image display device 140 and theanesthesia machine 118 via various modes of communication there between(e.g. Bluetooth. Wi-Fi, NFC). Further, either of the image displaydevice 140 and the anesthesia machine 118 which communicates with thesensors can initiate the oxygen desaturation timer t_(S) and transmitthe value of the oxygen desaturation timer t_(S) to the other of theimage display device 140 and the anesthesia machine 118. For example,the anesthesia machine 118 may communicate with the proximity sensor116, determine the drop in pressure in the mask 110, initiate the oxygendesaturation timer t_(S), and send the value of the oxygen desaturationtimer t_(S) to the image display device 140.

According to another aspect of the present disclosure, either of theimage display device 140 or anesthesia machine can register the removalof the mask 110 upon receiving data from the other of the image displaydevice 140 and the anesthesia machine 118, then initiate the oxygendesaturation timer t_(S), and then, transmit the value of the oxygendesaturation timer t_(S) back to the device which registered the removalof the mask 110. For example, the image display device 140 maycommunicate with the proximity sensor 116 and send a reading of theproximity sensor 116 to the anesthesia machine 118, which thendetermines the mask 110 has been removed, initiates the oxygendesaturation timer t_(S), and sends the value of the oxygen desaturationtimer t_(S) to the image display device 140. As the anesthesia machine118 communicates the value of oxygen desaturation timer t_(S), theanesthesia machine 118 could possibly be displaying oxygen desaturationtimer t_(S) on a monitor thereof. It will be understood that the aboveprocess could be performed with the image display device 140 andanesthesia machine 118 switching roles.

FIG. 10 is an algorithmic flowchart illustrating a method of analyzingan oxygen saturation level 1000, according to an aspect of the presentdisclosure. In block S1002, the controller 210 activates display settingfor an oxygen (O₂) saturation parameter. If multiple SpO₂ sensors(hereafter referred to as “oxygen sensor”, “oxygen sensors”, “O₂sensor”, or “O₂ sensors”) are available, then depending on a userprofile and/or the controller 210 operating the image display device 140according to the screen information template setting algorithm 500, thecontroller 210 may present, for example an anesthesia machine readingparameter as well as a separate facial O₂ parameter in the same displaywindow. In addition, as a reading of the facial O₂ sensor drops, thecontroller 210 may change colors of the facial O₂ parameter transitionfrom white on green, to black on yellow, for example.

In block S1004, the controller determines if a facial O₂ sensor, such asany of the oxygen sensors 116 in FIG. 1A, and any additional O₂ sensorshave been identified. The additional sensor could be an additionaloxygen sensor attached to the patient, a pulse oximeter attached to afinger of the patient 102, or another oxygen sensor connected to theanesthesia machine 118. Where a combination of a facial O₂ sensor and anadditional O₂ sensor have not been identified, the controller 210determines if a facial O₂ sensor has been identified in block S1008.

If a facial O₂ sensor has not been identified, corresponding to asituation in which no oxygen sensors have been identified by thecontroller 210, the data type and the priority of the O₂ saturationparameter is changed in block S1008. This corresponds to a situation inwhich the oxygen saturation of the patient 102 cannot be determined, andmay require a procedure to be stopped. Accordingly, the controller 210may change the priority of the O₂ saturation parameter to ensure that anoperator is aware that an oxygen saturation level is not available.

If a facial O₂ sensor is identified in block S1006, or it is determinedthat a difference between detected oxygen saturation levels by thefacial O₂ sensor and any additional O₂ sensor is not greater than orequal to a maximum deviation O_(2Δ-max), in block S1014, the controllerdetermines if an oxygen saturation detected by the facial O₂ sensor isless than or equal to a threshold minimum saturation level O_(2 Sat-min)in block S1010. Accordingly, a benefit of displaying an oxygensaturation level that does not suffer from lag because an oxygen sensoris positioned on a forehead of a patient can be obtained. If thedetected saturation is not above the threshold, then the method ofanalyzing an oxygen saturation level 1000 is completed. On the otherhand if the detected saturation is above the threshold, the controller210 changes the priority and display settings of the O₂ saturationparameter.

A change to the display settings of any parameter may include a changeto the size, color, and temporal settings of the parameter. For example,whereas the display settings for the O₂ saturation parameter may havepreviously included black digits in a yellow display window that did notflash, a new display setting for the O₂ saturation parameter may includea red display window and white digits that flash according to apredetermined frequency.

Where it is determined in block S1014 that the absolute value of thedeviating between a reading from the facial O₂ sensor is greater than orequal to the maximum deviation O_(2 Δ-max), which may indicate thefacial O₂ sensor is not providing an accurate reading, the controller210 can determine if an oxygen saturation detected by the additional O₂sensor is less than or equal to the threshold minimum saturation levelO_(2 Sat-min). Accordingly, displaying an erroneous reading of a facialO₂ sensor caused by interference from veinous pulsations when a patientis in a supine position can be avoided. Where it is the case that theoxygen saturation detected by the additional O₂ sensor is less than orequal to the threshold minimum saturation level O_(2 Sat-min), thecontroller 210 changes the priority and display settings of the O₂parameter. Otherwise, the method of analyzing an oxygen saturation level1000 ends.

FIG. 11 illustrates a view from the optical imaging device 260 during aprocedure, divided into optical segments (pixels and zones), accordingto an aspect of the present disclosure. In particular, FIG. 11illustrates optical parameters by which an image from the first opticalimaging device 260 can be segmented and evaluated by for the purposes ofdetermining which parameters should be activated and, which imagebetween multiple images sources may be displayed on the screen 208 ofthe image display device 140. The controller 210 may also do an imageanalysis according to landmark recognition.

According to an aspect of the present disclosure, the controller 210 mayemploy the first optical imaging device 260 as an event generationsensor in the sense that it determines a number of pixels that arepredominantly red (e.g. a color corresponding to a first range within anoptical spectrum) based on a signal strength in a red channel relativeto other RGB channels. As will be explained in more detail with respectto FIG. 12, the controller 210 may apply threshold criteria to recognizeevents to trigger different responses that are expressed based on thedisplay settings of the image display device 140. For example, thecontroller 210 may apply threshold criteria to the signal strength ofthe red channel to determine the intubation device 250 is being insertedinto a mouth of the patient 102, and start and display a timer(intubation device timer t_(D)) associated with an act of inserting theintubation device 250. According to an aspect of the present disclosure,image processing by the controller 210 may include segmenting andclassifying an image into red zones versus zones of a predominantlyother color, and setting a criteria based on a size and number of redzones. Further, an image analysis employed by the controller 210 may beequivalent to classifying and segmenting an image between tissue andforeign objects to detect a foreign object, such as a stylet orintubation tube.

FIG. 12 is an algorithmic flowchart illustrating a method of analyzingan image obtained by an optical imaging device 1200, according to anaspect of the present disclosure. The foregoing discussion refers to theintubation device 250 illustrated in FIGS. 2 and 3. However, it will beappreciated that the image display device 140 may perform any ofoperations described herein, as provided in combination with differenttypes of intubation devices generally represented in FIGS. 1A and 1Bwith the intubation device 150.

In block S1202, the controller 210 determines whether the algorithmicvariable (s) is greater than zero. Where the algorithmic variable (s) isgreater than zero, the controller 210 operates the image display device140 according to a second image source analyzing algorithm 1400. Thiscorresponds to a situation in which the controller 210 has previouslyanalyzed the image from the first image source (e.g. the first opticalimaging device), and determined that an image from a second image source(e.g. a stylet of the tube or coaxial arrangement of tube devices 170)is potentially ready to be viewed on the image display device 140because the second image source has been inserted into the patient 102and has an unobstructed view of the larynx or trachea of the patient102. Otherwise, the controller 210 analyzes the image from the firstoptical imaging device 260 in block S1204. The controller 210 mayperform a zone analysis, a pixel analysis by analyzing a signal for RGBcolor channels, and a landmark recognition analysis in block S1204.

In block S1206, the controller 210 determines if an intubation devicetimer t_(D) is initiated. The intubation device timer t_(D) indicatesthat an operator has begun to insert, for example the blade 258 of thelaryngoscope provided by the intubation device 250, into a mouth of thepatient 102. As will be described in more detail with respect to blockS1218, the controller 210 determines from the image analysis in blockS1204, whether the image 1 has a value for a 1st spectrum range thatcorresponds an open mouth of a person.

In block S1208, the controller 210 determines whether a value of theintubation device timer t_(D), which was determined to be have beeninitiated in block S1206, is greater than or equal to a maximum valuet_(D-max), and thus indicates whether an operator has been trying toinsert the intubation device 250 for too long. Thus the controller 210can, independent of whether the oxygen desaturation timer t_(S) has beeninitiated, determine if a specific process of an intubation proceduredirectly related to when the patient 102 will be able to safely receivean intubation tube is taking too long. Accordingly, if the controller210 is unable to determine when the mask 110 has been removed, or forprocedures in which the mask 110 is not detected and thus a removalthereof cannot indicate a beginning of a procedure, the controller 210can obtain data and display a parameter that advises an operator howmuch time has elapsed since the intubation device 250 was brought into aposition immediately before being inserted into the patient 102.

In block S1210, the controller 210 determines if the oxygen desaturationtimer t_(S) has been initiated. In block S1212, the controller 210determines if a difference between values of the oxygen desaturationtimer t_(S) and intubation device timer t_(D) is greater than or equalto a maximum timer difference t_(Δ-max). In the event the controller 210determines the value of the intubation device timer t_(D) is greaterthan or equal to the maximum value t_(D-max) in block S1208, or adifference between values of the oxygen desaturation timer t_(S) andintubation device timer t_(D) is greater than or equal to a maximumtimer difference t_(Δ-max) in block S1212 the controller 210 changesdata types and priorities for oxygen desaturation timer t_(S) andintubation device timer t_(D) parameters.

In block S1216, the controller 210 determines if the value for a 2ndspectrum range of the image 1 from the first image source (e.g. thefirst optical imaging device 260) is greater than a 1st reference valuefor the second spectrum range λ-Ref_(2A). The controller 210 operatesthe image display device 140 according to a second image sourcealgorithm 1400 where the 2nd spectrum range of the image 1 is greaterthan the 1st reference value λ-Ref_(2A)(i.e. reference value A of a setof reference values related to a wavelength corresponding to the 2ndspectrum range). Otherwise, the controller 210 determines a value of a1st spectrum range in block S1218.

The 2nd reference value for the 2nd spectrum range λ-Ref_(2A) isassociated with a wavelength in an optical spectrum that corresponds toa wavelength of light (e.g. color) in an image that may include anobject of a particular color and size relative to a remainder of theimage. For example, where the tube or coaxial arrangement of tubedevices 170 includes a component, such as a stylet or an intubationtube, or components thereof, of a specific color, the 2nd spectrum rangeof image 1 from the first image source will be different than in asituation in which a component of either, or neither of the intubationdevice 250 and the tube or coaxial arrangement of tube devices 170, isnot present in the patient 102 (e.g. within the view of the first imagesource). It will be appreciated that a color of the component of thetube or coaxial arrangement of tube devices 170 may preferably bedifferent than a color of the blade 258 of the laryngoscope provided bythe intubation device 250, or as described in more detail with referenceto FIG. 16, the color of a tube or a cuff of a laryngeal mask airway(LMA), in order to utilize a spectrum range that is different than the1st spectrum range. However, in a situation in which the intubationdevice 250 and the tube or coaxial arrangement of tube devices 170 areof similar colors, the controller 210 may analyze the image 1 from thefirst image source according to different reference values for a singlespectrum range, and thus correlate the value of the single spectrumrange of the image 1 to a value of an image area within the image thatis occupied by the combination of the intubation device 250 and the tubeor coaxial arrangement of tube devices 170.

In the case that the controller 210 determines the 2nd spectrum range ofthe image 1 is not greater than the 1 st reference value for the 2ndspectrum range λ-Ref_(2A), the controller 210 determines in block S1218if a value for the 1st spectrum range of the image 1 is greater than areference value λ-Ref_(Z-1) for the 1st spectrum range (e.g. a referencevalue related to a wavelength corresponding to the 1st spectrum range).The reference value λ-Ref_(Z-1) for the 1st spectrum range maycorrespond to a value of a spectrum range for an image that includes animage area or number of pixels within the image having a givenwavelength that corresponds to an open mouth. For example, the referencevalue λ-Ref_(Z-1) may correspond to a value of pixels that arepredominantly red based on a signal strength in a red channel relativeto other RGB color per the color channel image analysis previouslydiscussed. According to another aspect of the present disclosure, thereference value λ-Ref_(Z-1) for the 1st spectrum range may correspond toa ratio of zones classified as red zones to zones of predominantly othercolor, or a size of a cluster of zones classified as red zones. Theratio may be based on the zone image analysis in which the image 1 issegmented into zones which are classified respectively according to apredominant color within each zone. In the case of a size of a clusterof zones classified as red zones, the controller 210 may correlate asize within the image 1 of a total group of adjacent zones classified asred zones corresponds to a position of the intubation device 250 withinthe mouth of the patient 102 proximate to an area of the mouth that isdistal relative to a tongue. The reference value λ-Ref_(Z-1) may alsocorrespond to minimum area of an image having a particular intensity oflight for a given wavelength according to a channel and or zone analysisof the image 1 from the first image source (e.g. the first opticalimaging device 260).

In the case that the controller 210 determines the 1st spectrum range ofthe image 1 is greater than the reference value for the 1st spectrumrange λ-Ref₁, the controller 210 initiates the intubation device timert_(D) in block S1220, and in block S1226, activates a display settingfor an intubation device timer t_(D) parameter. Otherwise, the method ofanalyzing an image obtained by an optical imaging device 1200 iscompleted.

FIG. 13 illustrates a view of the patient 102 during a procedureutilizing a second image source 1300, according to an aspect of thepresent disclosure. In particular, FIG. 13 illustrates a situation inwhich the intubation device 150, such as the intubation device 250including the first optical imaging device 260, has been positioned inthe patient 102, and the tube or coaxial arrangement of tube devices 170has progressed to a position in the patient 102, as viewed by the firstoptical imaging device 260 and displayed on the image display device140. According to an aspect of the present disclosure, the tube orcoaxial arrangement of tube devices 170 may include a stylet as or otheroptical imaging device that provides a second image source which isdisplayed on an additional image display device 1300. Thus, the tube orcoaxial arrangement of tube devices 170 may include a component defininga second optical imaging device that obtains an image 2 of an areaencompassed by a field of view of the component of the tube or coaxialarrangement of tube devices 170. The image display device 140 may be incommunication with the additional image display device 1300 by wirelessconnection (e.g. Wi-Fi, Bluetooth, NFC), or via a computing device incommunication with the additional image display device 1300.

As illustrated in FIG. 13, an end of the tube or coaxial arrangement oftube devices 170 is positioned distally relative to first opticalimaging device 260 and proximal to a larynx 1302 of the patient.Accordingly, FIG. 13 illustrates a situation in which the controller 210may determine in block S1220, that the 2nd spectrum range of the image 1is greater than the 1st reference value λ-Ref_(2A) for the 2nd spectrumrange. In effect, the controller 210 detects at least the presence ofthe tube or coaxial arrangement of tube devices 170 with the view of thesecond optical imaging device 260. Thus, FIG. 13 illustrates an exampleof situation in which the controller 210 may operate the image displaydevice 140 in accordance with the second image source algorithm 1400.

FIG. 14 is an algorithmic flowchart illustrating a method of analyzingan image of a second image source 1400, according to an aspect of thepresent disclosure. The foregoing discussion refers to the intubationdevice 250 and tube or coaxial arrangement of tube devices 170illustrated in FIGS. 1A, 1B, and 13. However, it will be appreciatedthat the image display device 140 may perform any of the operationsdescribed herein, as provided in combination with different types ofintubation devices and tube or tube assemblies including various typesof optical imaging devices, including devices which provide images basedon light, heat, or other signatures of a surrounding area that may berepresented visually.

In block S1402, the controller 210 determines if the value for thesecond spectrum range of image 1 from the first image source accordingto the image analysis in block S1204, is greater than λ-Ref_(2B)(i.e. areference value B of the set of reference values related to a wavelengthcorresponding to the 2nd spectrum range). Accordingly, the controller210 determines if the tube or coaxial arrangement of tube devices 170occupies an area of the image 1 which corresponds to an area of theimage 1 that the tube or coaxial arrangement of tube devices 170 wouldcover, given a color or intensity of color of the tube or coaxialarrangement of tube devices 170, if the tube or coaxial arrangement oftube devices 170 was in a position in which an optimal view of thepatient 102 for completing the procedure may be a view from the styletof the tube or coaxial arrangement of tube devices 170 (e.g. a certaindistance from the larynx 1302 of the patient 102).

If the second spectrum range of image 1 is greater than λ-Ref_(2B), inblock S1404, the controller 210 determines if a second image source isavailable. Accordingly, in a situation in which the tube or coaxialarrangement of tube devices 170 does not include the video stylet 172 orother optical imaging device, the controller 210 will set thealgorithmic variable (s) equal to zero and the method of analyzing asecond image ends. On the other hand, if there is a second image sourceavailable, the controller 210 will analyze an image 2 of the secondimage source in block S1410. For example, the controller 210 willanalyze the image being displayed on the additional video display unit1300 of FIG. 13, and in block S1410 compares results of the analysis ofimage 2 with a current image analysis of image 1. It will be appreciatedthat the first image source (e.g. the first optical imaging device 260),remains active and transmits an image of an area in a respective fieldof view, continuously for analysis at any time during a period in whichimage display device 140 is operated according to the method ofoperating a video display 400 described herein.

The controller 210 will switch the image displayed on the screen 208 ofthe image display device 140 in block S1412, where the controller 210determines in block S1410 that a value for a 3rd spectrum range of theimage 2 from the second image source (e.g. an optical imaging deviceprovided by the video stylet 172 of the tube or coaxial arrangement oftube devices 170), is greater than a value for a 3rd spectrum range ofthe image 1 from the first image source (e.g. the first optical imagingdevice 260). This may occur where the second image source has anunobstructed view of a part of the larynx 1300, such as vocal cords 1304(false or true), occupying an area of the image 2 that would beadvantageous for an operator to view vs. a view of the patient 102 fromthe first image source.

The criteria for block S1410 is preferably based on a reference valuerelated to a wavelength corresponding to the 3rd spectrum range.Alternatively, a combination of landmark recognition and an imageanalysis for the 3rd spectrum range can be utilized to determine theimage displayed by the image display device 140. For example, thecontroller 210 may determine a common landmark, such as an epiglottis1306 can be recognized in both the image 1 and the image 2, can beutilized to determine the image displayed by the image display device140.

In addition to switching from image 1 to image 2, the controller 210 mayoperate the image display device 140 according the screen informationtemplate setting algorithm 500 with respect to the image 2. Accordingly,templates for various types of information related to a period during aprocedure corresponding to when, for example, the tube or coaxialarrangement of tube devices 170 is positioned in the patient 102 (e.g.in a trachea of the patient).

In block S1416, the controller 210 determines if the value for the 2ndspectrum range of image 1 from the first image source is less than the 1st reference value λ-Ref_(2A) for the 2nd spectrum range. Determiningthe value for the 2nd spectrum range of image 1 after the controller 210has switched to the image 2 may correspond to a situation in during theprocedure where the intubation device 250 or a component of the tube orcoaxial arrangement of tube devices 170 has been removed from thepatient 102. The controller 210 will set the algorithmic variable (s) toa value of 2 where the value of the 2nd spectrum of image 1 is less thanthe 1st reference value λ-Ref_(2A) for the 2nd spectrum. On the otherhand, where the controller 210 determines the conditions of block S1402,block S1410, or block S1414 are not present, the controller 210 sets thealgorithmic variable (s) to a value of 1.

FIG. 15 is an algorithmic flowchart illustrating a method of analyzing aforce applied to a patient 1500, according to an aspect of the presentdisclosure. In block S1502 the controller 210 sets a first counter r₁and second counter r₂ equal to 0. In block S1504, the controller 210determines if a sensor, for example the first position sensor 212 or thesecond position sensor 216 that determines an alignment, or providesdata that alone or in combination with data from another source can beused to calculate an alignment of the image display device 140, isactive. It will be appreciated that the alignment of the image displaydevice 140 may correspond to an alignment of a device attached to theimage display device 140, such as the intubation device 250, forexample. Accordingly, a criteria for evaluating the alignment of theimage display device 140 may be based on a corresponding alignment of adevice to which the image display device 140 is attached.

In block S1506, the controller 210 determines if an alignment deviationΔ_(a) is greater than a maximum alignment deviation Δ_(a-max) based on areading from the first position sensor 212 or the second position sensor216. In block S1508, the controller 210 increments the first counter r₁by a value of 1. In block S1510, the controller 210 determines if acurrent value of the first counter r₁ is greater than a first counterthreshold value r_(1-max) that may be a pre-determined value, a defaultvalue, or a value set by an operator as part of the operator's userprofile. If the first counter r₁ is greater than the first counterthreshold value r_(1-max), indicating that the image display device 140has not been aligned for a predetermined period of time, the controller210 may, in block S1512, change a priority for an alignment deviationΔ_(a) parameter. On the other hand, if the first counter r₁ isdetermined in block S1510 not to be greater than the first counterthreshold value r_(1-max), the alignment of the image display device 140is evaluated in block S1506.

A change to the priority of the alignment deviation Δ_(a) parameter maybe delayed in block S1508 and block S1510. Thus, a situation which couldbe considered as a false positive for changing the priority of thealignment deviation Δ_(a) parameter, such as when the image displaydevice 140 is only momentarily not within the range corresponding to themaximum alignment deviation Δ_(a-max), can be avoided. However, thefirst counter threshold value r_(1-max), may be set by an operator orthe controller 210 for certain operating conditions, to vary asensitivity for changing display settings based on the alignmentdeviation Δ_(a). Thus, the display settings can be tailored to aparticular type of procedure that is particularly short for which analignment of the image display device 140, or device attached thereto,must strictly be within the maximum alignment deviation Δ_(a-max), suchthat any deviation therefrom may be detrimental to completion of theprocedure and/or comfort level of patient.

In block S1514, the controller 210 activates display setting for thealignment deviation Δ_(a) parameter, and in block S1516, the controller210 determines if the intubation device timer t_(ID) has been initiated.Accordingly, if an optical imaging device, for example, the opticalimaging device 260 of the intubation device 250, is not operatingcorrectly or is unavailable, or the controller 210 cannot analyze animage from the optical imaging device, a time related to when theintubation 250 is to be positioned in the patient 102, can berecognized, tracked, and displayed on the screen 208 of the imagedisplay device 140 for an operator to read. For example, in a situationwhere the patient 102 has put something their mouth that leaves aresidue of a certain color that inhibits the recognition of a spectrumrange used to determine various conditions, the intubation device timert_(ID) can still be initiated when image display device 140, and forexample the intubation assembly 200 of FIG. 2, is in a position relativeto the patient corresponding to step in a procedure being performed. Asa result, the controller 210 initiates intubation device timer t_(ID)and activates the display setting for the parameter corresponding to theintubation device timer t_(ID), where the intubation device timer t_(ID)is determined to not have been initiated in block S1516.

In block S1520, the controller 210 determines if a force sensor, forexample force sensor 218, is active, and in block S1522, determines if aforce detected F is greater than a maximum force value F_(max). In blockS1524, the controller 210 increments the second counter r₂ by a valueof 1. In block S1526, the controller 210 determines if a current valueof the second counter r₂ is greater than a second counter thresholdvalue r_(2-max) that may be a pre-determined value, a default value, ora value set by an operator as part of the operator's user profile. Ifthe second counter r₂ is greater than the second counter threshold valuer_(1-max), indicating that a force proportional to a force, pressure, ormoment applied to an external object, such as a body part of patient102, has exceeded the maximum force value F_(max) for a period of timethat may be detrimental to the completion or a procedure of the comfortlevel of patient. On the other hand, if the first counter r₂ isdetermined in block S1526 not to be greater than the second counterthreshold value r_(2-max), the force detected by the force sensor 218 isre-evaluated in block S1522.

A change to the priority of the force F parameter may be delayed inblock S1524 and block S1526. Thus, a situation which could be consideredas a false positive for changing the priority the force F parameter,such as when a force greater than the maximum force value F_(max) isonly momentarily applied may be avoided. However, the second counterthreshold value r_(2-max), can be set by an operator or the controller210 for certain operating conditions, to vary a sensitivity for changingdisplay settings based on the detected force F. Thus, the displaysettings can be tailored to a particular type of procedure that isparticularly short or for which the patient 102 may be particularlysensitive to forces being applied by instruments or devices used tocomplete the procedure. Accordingly, the image display device 140operates as a warning system of varying sensitivities according to aprocedure being performed, a pain tolerance of a patient, or a standardsetting by a regulating authority.

In block S1530, the controller 210 activates the display setting for theforce F parameter, and in block S1532, the controller 210 determines ifthe intubation device timer t_(ID) has been initiated. The controller210 initiates intubation device timer t_(ID) and activates the displaysetting for the parameter corresponding to the intubation device timert_(ID) where the intubation device timer t_(ID) is determined to nothave been initiated in block S1534. Accordingly, if an optical imagingdevice, for example, the optical imaging device 260 of the intubationdevice 250, is not operating correctly or is unavailable, or thecontroller 210 cannot analyze an image from the first optical imagingdevice 260, a time related to when the intubation device 250 is to bepositioned in the patient 102, can be recognized, tracked, and displayedon the screen 208 of the image display device 140 for an operator toread.

FIG. 16 illustrates an intubation device assembly 1600, according to anaspect of the present disclosure. The intubation device assembly 1600includes the image display device 140 and an intubation device 1650,such as a laryngeal mask airway. The intubation device 1650 includes amain conduit 1652 that extends from a proximal end 1654 including aproximal aperture 1656, to a distal aperture 1658 in a cuff 1660. Thecuff 1660 defines a bowl 1662 in fluid communication with the distalaperture 1658, and in fluid communication with an inflation conduit1664. A pilot balloon 1666 and valve 1668 are attached to an end of theinflation conduit 1664. A first optical imaging device 1670 of theintubation device 1650 may include least one channel, such as a fiberoptic channel capable of transmitting an image, extending along the mainconduit 1664 into the bowl 1662.

During a procedure, the intubation device 1650 may be positioned in thepatient 102, the bowl 1662 positioned facing a laryngeal opening of thepatient 102, and the distal aperture 1658 substantially aligned with thelaryngeal opening. An optical imaging device such as the video style 172may be advanced through the main conduit 1652, through the distalaperture 1658, and past the vocal cords of the patient 102. The videostyle 172 may therefore provide an optical imaging device to provide asecond image source which may provide the image 2 that is switched toand displayed on the screen 208 of the image display device 140 in blockS1414. Subsequently, a tube including a cuff (e.g. an endotracheal tube)may be advanced over the endoscope through the main conduit 1652 andinto the trachea of the patient 102.

Alternatively, the endoscope, as guided by the main conduit 1652 of theintubation device 1650, can be used to guide a deployment of a cufflesstube placed over the endoscope, into the trachea. The tube with the cuffcan then be guided over the cuffless tube through the main conduit 1652and distal aperture 1658 into the trachea. It will be appreciated thatother methods of utilizing a passage defined by the main conduit 1652and the distal aperture 1658 of the intubation device 1650 to advance atube with a cuff (e.g. and endotracheal tube such as a specializedendotracheal tube to which a stabilizer bar can be attached) into thetrachea, may be performed.

The image display device 140 may be connected to a connector 1672 of theintubation device 1650 and the controller 210 connected to the firstoptical imaging device 1670. Accordingly, any of the methods describedherein with respect to the image display device 140 may be carried outwith the intubation device assembly 1600.

FIG. 17 illustrates a general-purpose computer system 1700, according toan aspect of the present disclosure. The general-purpose computer system1700 includes or is configured to access one or more computer-accessiblemedia, and includes a computing device 1702 with exemplary hardwareincorporated therein. According to an aspect of the present disclosure,the controller 210 of the image display device 140 may include or bedefined by the computing device 1702, and the exemplary hardwareillustrated in FIG. 17 may implement and/or execute the processes,algorithms and/or methods described in the present disclosure.

The computing device 1702 may include a processor 1704 with one or moreprocessors (which may be referred herein singularly as the processor1704 or in the plural as the processors 1704) coupled via a central BUS1706 or other type of I/O interface, to a memory 1708. The computingdevice 1702 may further include a disk controller 1710, a displaycontroller 1712, a network interface 1714, and an I/O interface 1716coupled to the central BUS 1706.

In various aspects, the processor 1704 of the computing device 1702 maybe a uniprocessor system including one processor, or a multiprocessorsystem including several processors (e.g., two, four, eight, or anothersuitable number). The processors 1704 may be any suitable processors,including application specific processors (ASP), capable of executinginstructions. As another example, in various aspects, the processor(s)may be general-purpose or embedded processors implementing any of avariety of instruction set architectures (ISAs), such as the x86,PowerPC, SPARC, or MIPS ISAs, or any other suitable ISA. Inmultiprocessor systems, each of the processors 1704 may commonly, butnot necessarily, implement the same ISA.

According to an aspect of the present disclosure, the processor 1704 mayinclude a logic device for augmenting or fully implementing the methodsand algorithms of the present disclosure. Such a logic device mayinclude, but is not limited to, an application-specific integratedcircuit (ASIC), a field programmable array (FPGA), a generic-array oflogic (GAL), and their equivalents. Further, general-purpose computersystem 1700 may benefit from parallel processing capabilities of amulti-cored central processing unit (CPU).

The system memory 1708 may be configured to store instructions and dataaccessible by the processor(s) 1704. In various aspects, the memory 1708may be implemented using any suitable memory technology, such as staticrandom access memory (“SRAM”), synchronous dynamic RAM (“SDRAM”),nonvolatile/Flash®-type memory, or any other type of memory (e.g., ROM,EPROM, EEPROM, DRAM, and their equivalents). Program instructions anddata implementing one or more desired functions, such as those methods,techniques and data described above, may be stored within the memory1708 as code and data.

In some aspects, the memory 1708 may be one aspect of acomputer-accessible medium configured to store program instructions anddata as described above for implementing aspects of the correspondingmethods and apparatus. However, in other aspects, program instructionsand/or data may be received, sent, or stored upon different types ofcomputer-accessible media. Generally speaking, a computer-accessiblemedium may include non-transitory storage media or memory media, such asmagnetic or optical media, e.g., disk or DVD/CD controller coupled tothe computing device 1702 via the central BUS 1706, an in particular viathe disk controller 1710. A non-transitory computer-accessible storagemedium may also include any volatile or non-volatile media, such as RAM(e.g., SDRAM, DDR SDRAM, RDRAM, SRAM, etc.), ROM, etc., that may beincluded in some aspects of the computing device 1702 as the memory 1708or another type of memory.

Further, a computer-accessible medium may include transmission media orsignals, such as electrical, electromagnetic or digital signals,conveyed via a communication medium, such as a network and/or a wirelesslink, such as those that may be implemented via the network interface1714. Portions or all of multiple computing devices, such as thoseillustrated in FIG. 17, may be used to implement the describedfunctionality in various aspects; for example, software componentsrunning on a variety of different devices and servers may collaborate toprovide the functionality. In some aspects, portions of the describedfunctionality may be implemented using storage devices, network devicesor special-purpose computer systems, in addition to or instead of beingimplemented using general-purpose computer systems. The term “computingdevice,” as used herein, refers to at least all these types of devicesand is not limited to these types of devices.

The network interface 1714 may be configured to allow data to beexchanged between the computing device 1702 and other device or devicesattached to a network or networks, such as other computer systems ordevices, for example. In various aspects, the network interface 1714 maysupport communication via any suitable wired or wireless general datanetworks, such as types of Ethernet networks, for example. Additionally,the network interface 1714 may support communication viatelecommunications/telephony networks, such as analog voice networks ordigital fiber communications networks, via storage area networks, suchas Fibre Channel SANs (storage area networks), or via any other suitabletype of network and/or protocol.

In one aspect, the central BUS 1706 may be configured to coordinate I/Otraffic between the processor(s) 1704, the memory 1708, the networkinterface 1714, and any peripherals 1718 which may include, for example,the first connector 222, the second connector 254, the first opticalimaging device (260, 1670), and any other devices that may transmit dataand receive instructions from the I/O interface 1716. The I/O interface1716 is further provided for inputting signals and/or data from theperipherals 1718, the sensors 1720, and a touch screen monitor 1722 ofthe image display device 140. The sensors 1720 may include the proximitysensor 114, the O₂ sensor 116, the first position sensor 212, the secondposition sensor 216, the force sensor(s) 218, and may also include thefirst optical imaging device (260, 1670).

Results of processing in accordance with the present disclosure can bedisplayed via the display controller 1712 to the touch screen monitor1722 of the image display device 140 which provides a use interface. Thescreen 208 of the image display device 140 may provide a touch sensitiveinterface of the touch-screen monitor 1722 for providing acommand/instruction interface. The display controller 1712 may includeat least one graphic processing unit, which can be provided by aplurality of graphics processing cores, for improved computationalefficiency.

In some aspects, the central BUS 1706 may perform any necessaryprotocol, timing or other data transformations to convert data signalsfrom one component (e.g., the memory 1708) into a format suitable foruse by another component (e.g., the processor 1704). In some aspects,the central BUS 1706 may include support for devices attached throughvarious types of peripheral buses, such as a variant of the PeripheralComponent Interconnect (PCI) bus standard or the Universal Serial Bus(USB) standard, for example. In some aspects, the function of thecentral BUS 1706 may be split into two or more separate components, suchas a north bridge and a south bridge, for example. Also, in some aspectssome or all of the functionality of the central BUS 1706, such as aninterface to the memory 1708, may be incorporated directly into theprocessor 1704.

It should also be appreciated that the systems in the figures are merelyillustrative and that other implementations might be used. Additionally,it should be appreciated that the functionality disclosed herein mightbe implemented in software, hardware, or a combination of software andhardware. Other implementations should be apparent to those skilled inthe art.

Each of the operations, processes, methods, and algorithms described inthe preceding sections may be embodied in, and fully or partiallyautomated by, code modules executed by at least one computer or computerprocessors. The code modules may be stored on any type of non-transitorycomputer-readable medium or computer storage device, such as harddrives, solid state memory, optical disc, and/or the like. The processesand algorithms may be implemented partially or wholly inapplication-specific circuitry. The results of the disclosed processesand process steps may be stored, persistently or otherwise, in any inany type of non-transitory computer storage such as, e.g., volatile ornon-volatile storage.

It will be appreciated that the foregoing description provides examplesof the disclosed system and technique. However, it is contemplated thatother implementations of the disclosure may differ in detail from theforegoing examples. All references to the disclosure or examples thereofare intended to reference the particular example being discussed at thatpoint and are not intended to imply any limitation as to the scope ofthe disclosure more generally. All language of distinction anddisparagement with respect to certain features is intended to indicate alack of preference for those features, but not to exclude such from thescope of the disclosure entirely unless otherwise indicated.

We claim:
 1. A method of indicating an oxygen desaturation period hasbeen initiated, the method comprising: detecting, via at least one of anoptical imaging device and one or more sensors, an oxygen maskconfigured to supply oxygen to a patient to saturate the patient;detecting, via the at least one of the optical imaging device and theone or more sensors, a removal of the oxygen mask from the patient tostop saturation of the patient; initiating, via one or more processors,a desaturation timer in response to the at least one of the opticalimaging device and the one or more sensors detecting the removal of theoxygen mask from the patient; and operating, via the one or moreprocessors, an image display device to display a first running timeindicating a desaturation time elapsed from a time of the removal of theoxygen mask.
 2. The method according to claim 1, wherein the at leastone of an optical imaging device and the one or more sensors includesone or more stationary proximity sensors, wherein the oxygen maskincludes one or more magnets creating a permanent magnetic field, andwherein the oxygen mask is positioned to saturate the patient and theone or more stationary proximity sensors are located in the permanentmagnetic field.
 3. The method according to claim 2, further comprising:receiving, via the one or more processors, a position of the oxygen maskaccording to an operation of the one or more of the stationary proximitysensors and the magnets; determining, via the one or more processors, adistance between the oxygen mask and the one or more stationaryproximity sensors according to the position of the oxygen mask; andcomparing, via the one or more processors, the position of the oxygenmask to a first threshold distance, wherein the detecting the removal ofthe oxygen mask includes detecting the removal of the oxygen mask inresponse to the one or more processors determining, based on thecomparing, the oxygen mask is positioned a first distance from the oneor more stationary proximity sensors greater than the first thresholddistance.
 4. The method according to claim 3, further comprising:determining, via the one or more processors, a second distance betweenthe oxygen mask the one or more stationary proximity sensors prior tothe detecting the removal of the oxygen mask; setting, via the one ormore processors, a second threshold according the second distance; andresetting, via the one or more processors, the timer and stopping thedisplay of the first running time in response to the one or moreprocessors determining the oxygen mask is positioned a third distancefrom the one or more stationary proximity sensors that is less than thesecond distance.
 5. The method according to claim 1, wherein the atleast one of an optical imaging device and the one or more sensorsincludes one or more pressure sensors attached to the oxygen mask, andwherein detecting the removal of the oxygen mask includes detecting theremoval of the oxygen mask in response to the one or more pressuresensors detecting a change in pressure for a supply of oxygen by theoxygen mask greater than a threshold pressure change.
 6. The methodaccording to claim 1, wherein the at least one of the optical imagingdevice and the one or more sensors includes an optical imaging device,wherein the optical imaging device is focused on a location includingthe oxygen mask positioned on the patient, and wherein detecting theremoval of the oxygen mask includes detecting the removal of the oxygenmask in response to the oxygen mask being removed from the locationaccording to an image from the optical imaging device.
 7. The methodaccording to claim 1, wherein the operating the image display deviceincludes operating the image display device to display the running timein a position on the screen that corresponds to a location within afield of view from a first location that is a working distance of 50 cmfrom a second location defining a focus of the field of view, andwherein the field of view is 10° and the second location does notcoincide with a position on the screen.
 8. The method according to claim1, further comprising: determining, via the one or more processors, anintubation procedure has been initiated according to a position of anintubation device assembly that is in communication with the imagedisplay device, and operating, via the one or more processors, the imagedisplay device to display the first running time corresponding to theoxygen desaturation period and a second running time indicating anelapsed time from the intubation procedure being initiated.
 9. Themethod according to claim 1, further comprising: receiving, via the oneor more processors, data from a first oxygen sensor configured to beattached to a patient and data from a second oxygen sensor of ananesthesia machine; determining, via the one or more processors, adifferential between a first oxygen level corresponding to the data fromthe first oxygen sensor and a second oxygen level corresponding to thedata from the second oxygen sensor to a deviation threshold; andoperating, via the one or more processors, the image display device todisplay the first level of oxygen in response to the differential beingless than the deviation threshold.
 10. The method according to claim 1,further comprising: detecting, with one or more position sensors, anorientation of the screen of the imaging device; setting, with the oneor more processors, a template for displaying the first running time inthe display window on the screen according to the orientation of thescreen and a first field of view from a first location focused on asecond location that does not coincide with a location of the screen;and operating, with the one or more processors, the image display deviceto display the display window including the running time and a videoimage from an optical imaging device of the intubation assembly on thescreen.
 11. The method according to claim 10, wherein setting thetemplate includes setting a position of the display window to be withinthe first field of view such that at least a portion of the displaywindow is positioned in an area of the screen including a display of thevideo image.
 12. A system comprising: an intubation device assemblyincluding: an intubation device, and an image display device including ascreen and a controller; a proximity sensor configured to communicatewith the controller; and a magnet configured to provide a permanentmagnetic field; and wherein the magnet is positioned more than apredetermined distance from the proximity sensor and the controllerinitiates a timer and operates the image display device to display arunning time on the screen indicating an elapsed time from theinitiation of the timer.
 13. The system of claim 12, further comprisingat least one oxygen sensor configured to detect an oxygen saturation andcommunicate with the controller, and wherein the magnet is positionedmore than the predetermined distance from the proximity sensor and thecontroller operates the image display device to display the running timeand the oxygen saturation on the screen.